Patient Forms, Map and Directions to Quincy Office
Your first visit to Cornerstone Dental Health involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can also save some time by printing out and completing the patient forms in advance of your appointment.
Our commitment is to enhance the health of our patients, through disease prevention and education. We will be dedicated to meeting the special needs of our patients, and providing the same compassion that we would expect to be provided. We will succeed by being flexible, understanding, and efficient, because we work together as a team.
We will provide excellence in our patient treatment. We will deliver only appropriate treatment within the boundaries of the Code of Ethics and Parameters of Care of the American Dental Association. We are committed to ongoing continuing education and "state of the art" facilities. We will provide a safe environment, where treatment and prescriptions will be based on sound scientific principles.
We value you as a patient and take your personal privacy seriously. The delivery of dental care in the outpatient setting is extremely safe due in large part to the thoroughness of the medical history we obtain from you. The accuracy of your claims, proper reminder cards, etc., are all dependent on the account information we obtain from you. We only collect the information that is necessary to conduct our business and to provide you with comprehensive quality health care. The information in your file will only be shared with the individuals or businesses that you have given us written permission to share it with, such as your insurance company, another physician, etc. We maintain strict physical, electronic and procedural safeguards to protect your personal information. At no time will our office give out your personal information for a purpose other than those related to your healthcare. For a complete Notice of Privacy Practices click here.
Please print and fill out these forms so we can expedite your first visit:
All New Patients Required:
- HIPAA Compliance Form- Use this form after you have read the HIPAA compliance information provided. Please fill out one form for each patient.
- Then choose among the appropriate cateogories below, adult or child:
- Child Registration and Health History
- Under 18 Consent Form- Use this form if your child is coming to our practice without his/her legal guardian or parent.
The following forms are available for you to print and fill out prior to your appointment. Bringing completed forms with you to the appointment will help save you time.These forms require a PDF Reader. Click here to download it.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.